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Mediclaim will neither get stuck nor hang, National Health Claim Exchange will start soon, so know what will be the benefits.


National Health Claim Exchange (NHCX) is likely to be launched in the next two to three months. With this, the claim settlement process will be done in a fast and transparent manner. Official sources gave this information on Wednesday. NHCX is a digital health claims platform. It has been designed by the National Health Authority (NHA) to ensure faster processing of health insurance claims. This will standardize insurance claim processes. This will also ensure transparency. All other parties including insurance companies will be involved in this. The National Health Authority (NHA) and the Insurance Regulatory and Development Authority of India (IRDAI) tied up last year to roll out NHCX.

All insurance companies will be involved

IRDAI, through a circular in June 2023, had advised all insurers and service providers to incorporate NHCX. Insurance companies have different portals, making it cumbersome and time-consuming for hospitals, patients, and other concerned parties to settle health insurance claims. NHCX is ready and is likely to be launched in the next two to three months, the source said. The claims platform has been developed as part of the Ayushman Bharat Digital Mission (ABDM). Through NHCX, all the insurance companies will be on one platform. It will serve as a common platform for the exchange of claims-related information between various parties in the health care and health insurance ecosystem.

Transparency will increase in the insurance sector

The source said, “Integration with NHCX will seamlessly enable settlement of health claims. Also, efficiency and transparency will increase in the insurance industry. This will benefit policyholders and patients.” NHA and IRDAI are conducting meetings and workshops with hospitals and insurance companies for the complete integration of 40-45 health insurance companies with NHCX. Insurance companies like Aditya Birla Health Insurance, Star Health & Allied Insurance, Bajaj Allianz Insurance Company and HDFC ERGO Insurance, ICICI Lombard General Insurance, The New India Assurance Company, Tata AIG General Insurance Company, Paramount TPA, United India Insurance Company have implemented NHCX integration. completed.

Claim settlement costs higher

Officials have said that the current process of exchanging claims lacks standardization. In this, most of the data exchange is in PDF or ‘manual’ form. Processes vary significantly between insurers, TPAs, and service providers. This makes the cost of settling each claim higher.

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